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无线运动传感器——在评估膝骨关节炎患者理疗方法有效性中的应用:初步报告。

Wireless Motion Sensors-Useful in Assessing the Effectiveness of Physiotherapeutic Methods Used in Patients with Knee Osteoarthritis-Preliminary Report.

机构信息

Department of Rehabilitation and Physiotherapy, University of Medical Sciences, 28 Czerwca 1956 Str., No 135/147, 60-545 Poznań, Poland.

Aisens Sp. z o. o., Lubeckiego 23A, 60-348 Poznań, Poland.

出版信息

Sensors (Basel). 2020 Apr 16;20(8):2268. doi: 10.3390/s20082268.

Abstract

Osteoarthritis of the knee (OAK) is characterized by pain, limitation of joint mobility, and significant deterioration of proprioception resulting in functional decline. This study assessed proprioception in OAK patients following two ten-day rehabilitation programs using the Orthyo system. Fifty-four study participants with clinical symptoms and radiological signs of OAK were randomly divided into an exercise group ( = 27) or a manual therapy group ( = 27). The control group consisted of 27 volunteers with radiological signs of OAK, but with no clinical symptoms or prior history of rehabilitation. The following parameters were assessed: knee proprioception using inertial sensors and a mobile application, patients' function using Western Ontario and McMaster Universities osteoarthritis index (WOMAC), and pain intensity using the visual analog scale (VAS). Following rehabilitation, knee proprioception tests did not improve in either study group. Both study groups showed significant improvement of the WOMAC-assessed function (exercise group: < 0.01, manual therapy group: = 0.01) and a significant decrease ( < 0.01) of VAS-assessed pain following rehabilitation, but the post-therapy results did not differ significantly between the aforementioned groups. The Orthyo system provided a quick and accurate assessment of the knee joint position sense. There was no direct relationship between functionality, pain, and proprioception threshold in the knee joint.

摘要

膝关节骨关节炎(OAK)的特征是疼痛、关节活动度受限以及本体感觉明显恶化,导致功能下降。本研究使用 Orthyo 系统评估了两种为期十天的康复方案对 OAK 患者本体感觉的影响。54 名具有 OAK 临床症状和放射学征象的研究参与者被随机分为运动组(n=27)或手法治疗组(n=27)。对照组由 27 名具有 OAK 放射学征象但无临床症状或既往康复史的志愿者组成。评估了以下参数:使用惯性传感器和移动应用程序评估膝关节本体感觉,使用 Western Ontario 和 McMaster 大学骨关节炎指数(WOMAC)评估患者功能,以及使用视觉模拟量表(VAS)评估疼痛强度。康复后,两组的膝关节本体感觉测试均无改善。两组的 WOMAC 评估功能均显著改善(运动组:<0.01,手法治疗组:=0.01),VAS 评估疼痛显著降低(<0.01),但上述两组之间的治疗后结果无显著差异。Orthyo 系统提供了一种快速、准确的膝关节位置感觉评估方法。膝关节的功能、疼痛和本体感觉阈值之间没有直接关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ff4/7219042/cd041b1d9159/sensors-20-02268-g001.jpg

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